Step 1: Before completing the readmission forms, student must meet with the Program Director of the program for which the student is requesting readmission. This process is currently only available for Dental Assistant, Physical Therapist Assistant, Phlebotomy, Health Information Technology, Health Information Management, Radiologic Technology, Medical Assistant, and Veterinary Technology programs.
Update SSN, Name, Citizenship, Birthdate.Change of High School Graduation Information from a Foreign Country.Active Military Duty Certification for Spouse/Dependents.Counseling/Evaluations & Graduation Forms.VIDEO WALKthrough Submitting Forms Online Once you submit, you will receive an email confirmation with a link to your request,.Be sure to attach all supporting documentation as well.
Make sure the form you select to submit matches the completed PDF form you are attaching. Click on the Submit Form Online button below.Be sure to read the directions on the form, failure to do so will result in delays. If necessary, gather all documentation required to submit the form, including the names of any counselor or professor you consulted with.Other forms may be documentation that has no form attached to it. * NOTE - Forms that are 100% online have the words (online) next to them.
For instructions how to sign your form, click here or visit:
If you don't already have Adobe Acrobat Reader, you can download it for free from the Adobe website. Most forms and documents on this page are in PDF file format and require the latest version of Adobe Acrobat Reader to view. To view the current status of an electronic form that you have submitted, please login to your Student Support Portal. Resubmitting a form will not expedite your request. A completed form will still be required.Please note that due to the campus closures some forms can be submitted electronically. You may also report the loss by e-mailing or calling 1 (800) 442-6003. The report must be made within 10 days of the loss. Use this form to report a loss of food purchased with SNAP benefits if the loss was the result of a fire, flood, power outage, appliance failure, or other household misfortune. Use this form to report changes to the address or licensing of a SNAP approved group home. SNAP Changes to Existing Group Homes (PDF) Use this form to help determine if residents of a group home you administer may be eligible for SNAP Benefits. SNAP Group Home Screen Form and Fact Sheet (PDF)
Use this form to verify enrollment in certain community college programs that qualify recipients for exemption from SNAP Ineligible Student rules.
Long Term Care Personal Support Services Agreement (Word) | also as PDFĬomplete this form if you would like to request a disability determination for MaineCare services.Ĭommunity College Verification Form (PDF) To appoint an authorized representative to act on your behalf with DHHS. This form allows DHHS to release or obtain a participant's medical, billing or other confidential records to or from another provider/agency. Learn more about Emergency Assistance here.Ĭomplete this form when applying for TANF or Parents as Scholars (PaS)Īuthorization to Release Information (PDF) Use this application to apply for Emergency Assistance. Use this application if you are MaineCare member seeking help paying for private health insurance premiums.Įmergency Assistance (EA) Application (PDF) Private Health Insurance Program (PHIP) Application (PDF) Use this application if you would like to apply for the HOPE program and learn more information. Higher Opportunity for Pathways to Employment (HOPE) Application (PDF)
Use this application if you’d like to apply for assistance with the cost of medical services for individuals in a: